The Centers for Medicare & Medicaid Services (CMS) issued this letter to inform Medicaid agencies that CMS is extending current state reporting requirements for certain metrics contained in the Unwinding Data Report. Monthly state reporting about renewal actions occurring on or after July 1, 2024, and fair hearing requests that have been pending for more than 90 days, will continue on an ongoing basis. CMS will continue reporting data publicly to maintain transparency into Medicaid and CHIP renewal outcomes at the national and state levels. Medicaid is an important source of insurance coverage in rural areas. The unwinding of the continuous Medicaid coverage provision has resulted in over 22 million enrollees being disenrolled as of May 23, 2024 and over 49 million have had their coverage renewed.